Individual
JULIA C BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3506 21ST ST STE 507, LUBBOCK, TX 79410-1233
(806) 725-4805
(806) 723-7076
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP119633
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302026102
FIRSTCARE
TX
01
—
337389YKT8
MEDICARE
TX
05
—
348681302
—
TX
05
—
61271888
—
NM
01
—
8300MB
BCBS
TX
Enumeration date
12/14/2010
Last updated
01/18/2019
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